Simple Solutions Billing & Credentialing
Maintain your peace of mind while improving your bottom line
Claims Processing
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Enter client demographics and insurance information
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Confirm authorizations are on file
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Submit claims electronically
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File secondary claims or coordinate automatic crossovers
Credentialing
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Complete all application forms, materials, and submissions for the insurance company
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Handle all communication and correspondence with insurance representatives and network management teams
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Set up EFT, EDI/ERA enrollments (if applicable)
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Submit network appeals in the event of network participation denials
Benefits Verification
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Call the insurance companies to verify mental health benefits and eligibility before the client's first appointment
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We will confirm the amount of co-payment, deductible, maximum visits allowed per year, any authorization requirements and claims mailing address
EAP Claims Processing
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Call for authorization
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Verify number of sessions
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Navigate billing rules and procedures
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Submit claims
Payment Posting
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Enter payments and adjustments from insurance EOBs
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Post patient copays
Follow-Up and Appeals
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Call insurance companies to check on status of unpaid claims
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Refile unpaid claims as needed
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File appeals